John D Incledon III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0013444 Issued in NY

Practice address

997 Main St
Fishkill, NY 12524-1790

Phone

(845) 897-2402

NPI assigned

Feb 16, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

New York Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Incledon Chiropractic Office, PLLC

  • Chiropractor
  • Fishkill, NY
  • NPI 1841096278
  Medicare reassignment NPD Authorized official
• Incledon Chiropractic LLC

  • Chiropractor
  • Fishkill, NY
  • NPI 1194976399
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1326631896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241790",
            "telephone_number": "845-897-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241790",
            "telephone_number": "845-897-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCLEDON",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "0013444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armon Imbriglio, PA
• Immediate Medical Health Care
• Imtiaz a. Mallick Physician P.C
• Incledon Chiropractic LLC
• Incledon Chiropractic Office, PLLC
• Leandra Carmen Infante, LMSW
• Integrated Health Solutions, Inc.
• Lyssa Irizarry, MSPED
• J Bieber Oral and Maxillofacial Surgery PLLC
• Anna Jabbour, PHARM.D.

• Chiropractor in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.